DECREASING OF PAIN SCALE THROUGH WARM COMPRESS AMONG ELDERLY WITH RHEUMATOID ARTHRITIS

  • Hariati Hariati Institut Kesehatan Deli Husada
Keywords: Pain, rheumatoid arthritis

Abstract

A warm compress is one of the non-pharmacological actions by providing a warm sensation to the skin using fluids and tools that cause a warm sensation to the part of the body that is needed. A warm compress on the rheumatoid joint will deactivate the nerve fibers that cause muscle spasms and pain. This study aims to determine the effect of warm compresses on the scale of pain in the elderly with rheumatoid arthritis. This research design using Quasi Experiment with one group pre–posttest design. The number of samples as many as 42 elderly people who were in the working area of ​​Amplas Puskesmas, Medan Amplas District, total samples were taken. The results showed that the total mean value before giving warm compresses was 4.57 (SD = 0.703), while after giving warm compresses there was a decrease with the total mean value was 2.10 (SD = 1,165). The results of the nonparametric statistical test with the Wilcoxon test obtained p-value = 0.000. These results indicate that the p-value <0.05 (0.000), which means that there is a significant difference. So this shows that there is a significant reduction in the pain scale in the elderly between before doing warm compresses and after doing warm compresses. So it can be concluded that warm compresses affect the scale of pain in the elderly with rheumatoid arthritis. Thus, nurses can use warm compresses as a non-pharmacological intervention in reducing pain scales in elderly people with rheumatoid arthritis.

Keywords: Pain, rheumatoid arthritis

References

A., & Lorica, J. (2019). Warm Compress Reduced Pain Intensity of Arthritis Rheumatoid for Elderly People; Pre- and Post-test Design Study. KnE Life Sciences, 4(15), 1–10. https://doi.org/10.18502/kls.v4i15.572
Ambardekar, N. (2020). Heat and Cold Therapy for Arthritis Pain. Accessed at https://www.webmd.com/arthritis/heat-and-cold-therapy-for-arthritis-pain
Badan Pusat Statistik. (2020). Statistik Penduduk lanjut Usia. Jakarta.
Flink, I., Reme, S., Jacobsen, H., Glombiewski, J., Vlaeyen, J., Nicholas, M., Main, C., Peters, M., Williams, A., Schrooten, M., Shaw, W. & Boersma, K. (2020). Pain psychology in the 21st century: lessons learned and moving forward. Scandinavian Journal of Pain, 20(2), 229-238. https://doi.org/10.1515/sjpain-2019-0180
Hinkle, J., Cheever, K. (2017). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. 14th Ed. LWW
Kementerian Kesehatan RI. (2019). Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.
Kobak, S., & Bes, C. (2018). An autumn tale: geriatric rheumatoid arthritis. Therapeutic advances in musculoskeletal disease, 10(1), 3–11. https://doi.org/10.1177/1759720X17740075
Potter, P.A., Perry, A.G., Stockert, P., & Hall, A. (2013). Fundamentals of Nursing . 8 th ed. St. Louis: Mosby
Roma, Izabela, Almeida, Mariana Lourenço de, Mansano, Naira da Silva, Viani, Gustavo Arruda, Assis, Marcos Renato de, & Barbosa, Pedro Marco Karan. (2014). Quality of life in adults and elderly patients with rheumatoid arthritis. Revista Brasileira de Reumatologia, 54(4), 279-286. https://doi.org/10.1016/j.rbr.2014.03.025
Serhal, L., Lwin, M., Holroyd, C., Edwards, C. (2020). Rheumatoid arthritis in the elderly: Characteristics and treatment considerations. Autoimmunity Reviews. 19(6). https://doi.org/10.1016/j.autrev.2020.102528.
WHO. (2018). Ageing and Health. Accessed at https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
WHO. (2020). WHO launches Baseline report for Decade of Healthy Ageing. Accessed at https://www.who.int/news/item/17-12-2020-who-launches-baseline-report-for-decade-of-healthy-ageing
WHO. (2021). Ageing and health in the South-East Asia Region. Accessed at https://www.who.int/southeastasia/health-topics/ageing#:~:text=The%20population%20in%20WHO%20South,2030%20and%20by%202050%2C%20respectively.
Published
2021-04-30